Celebrating a slim but symbolic health-care win in Washington, President Donald Trump told supporters in Ohio that the nation was one step closer to liberation from the "Obamacare nightmare."

"You think that's easy? That's not easy," he told a crowd of thousands just hours after the Senate took a small but hard-fought first step Tuesday toward Republicans' years-long promise to repeal and replace former President Barack Obama's healthcare law.

He also issued a stern warning to Republican senators.

"Any senator who votes against repeal and replace is telling America that they are fine with the Obamacare nightmare," Trump said. "And I predict they'll have a lot of problems."

He didn't say what those "problems" might be.

Clearly energized to be back in front of a friendly crowd of supporters, Trump said repeatedly that he believes in speaking directly to the American people and not through the "fake news" media. And he joked about accusations that he doesn't act presidential.

"It's so easy to act presidential," he said. "But that's not going to get it done."

Trump said that with the Senate's vote to allow consideration of a health care bill, "We're now one step closer to liberating our citizens from this Obamacare nightmare and delivering great health care for the American people."

Tuesday's trip to Youngstown, a staunchly working-class, union-heavy enclave that has long helped anchor Democrats in Ohio, served as a welcome distraction from Washington for a president who loves to relive his once-unlikely Election Day win.

In a room filled with supporters, Trump talked up his first six months in office, claiming that no other president had done "anywhere near" what he'd done in his first six months.

"Not even close," he said.

Far from questions about investigations into Russian meddling in the 2016 campaign and his repeated attempts to discredit his attorney general, Trump painted the picture of a president adored by his country, despite his dismal approval ratings.

Trumpeting his administration's tough approach to illegal immigration and criminal gangs, Trump described people "screaming from their windows, 'Thank you, thank you,'" to border patrol agents and his Homeland Security secretary.

"We're liberating our towns and we're liberating our cities. Can you believe we have to do that?" he asked, adding that law enforcement agents were rooting out gang members — and "not doing it in a politically correct fashion. We're doing it rough."

"Our guys are rougher than their guys," he bragged.

Trump also said he's been working with a pair of Republican senators to "create a new immigration system for America."

"We want a merit-based system, one that protects our workers" and one that "protects our economy," said Trump, endorsing legislation introduced by Sens. Tom Cotton and David Perdue that would put new limits on legal immigration.

Ahead of the rally, Trump stopped by a veterans' event as part of the White House's weeklong celebration of servicemen and women. Following brief remarks by several of his Cabinet members, Trump entered a small room of veterans, several of them over 80 years old, and praised them for their commitment and sacrifice for the country.

But he quickly shifted gears to recall his unexpected election win in Ohio, praising Youngstown and towns like it for helping him secure the electoral votes that put him over the top.

"It was incredible time we had. You saw the numbers," he said. "Democrats, they win in Youngstown — but not this time."

Trump has mainly sought to re-litigate his 2016 victory in friendly territory, escaping Washington to recharge with boisterous crowds that embrace his jabs at "fake news" media, Democrats and even those Republicans whom Trump once vowed to defeat as part of his effort to "drain the swamp."

Democrat Hillary Clinton herself did not frequent this stretch of the industrial Midwest in her campaign against Trump, instead dispatching her husband, the former president, on little-noticed bus tours of the region. Trump ended up narrowing Clinton's advantage to 3 points on his way to an 8-point victory statewide.

The surrounding 13th Congressional District, which Trump lost by 6.5 percentage points, is among the Democratic-held seats that Republicans are targeting next year, and the local congressman, Rep. Tim Ryan, happens to be one of the Democrats' most intense internal critics.

Ryan won two-thirds of the vote to win an easy re-election in November despite Trump's performance, a result that demonstrates the president's appeal among white voters who have historically backed Democrats. Shortly after, he ran unsuccessfully against Nancy Pelosi, D-Calif., for House minority leader, and he continues to criticize the party for leaning too heavily on leaders from coastal states and failing to communicate a coherent economic message to much of the rest of the country.

Associated Press writers Jill Colvin in Washington and Bill Barrow in Atlanta contributed to this report.

Celebrating a slim but symbolic health-care win in Washington, President Donald Trump told supporters in Ohio that the nation was one step closer to liberation from the "Obamacare nightmare.""You think that's easy? That's not easy," he told a crowd of thousands just hours...